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DRVA2019-0025tev 09~(& * See below for Finance Revenue Codes - GEM .fthtOESERT - - DRIVEWAY APPROACH PUBLIC WORKS CONSTRUCTION For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains and otherlike public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS. DATE: 9/10/2020 LOCATION OF CONSTRUCTION (Street address or Description): 54710 AVENIDA VELASCO PURPOSE OF CONSTRUCTION: DESCRIPTION OF CONSTRUCTION: REESER I DRIVEWAY APPROACH / BRES2019-0262 DIMENSION OF INSTALLATION OR REMOVAL: APPROXIMATE TIME WHEN WORK WILL BEGIN: TIME OF COMPLETION: ESTIMATED CONSTRUCTION COST:_........ (Including removal of all obstruction, materials, and debris, backfilling, compaction and placing permanent resurfacing and/or replacing improvements) COMMENTS: In consideration of the granting of this permit, the applicant hereby agrees to: Indemnify, defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to persons or property happening or occurring as a proximate result of any work undertaken under the permit granted pursuant to this application. Notify the Administrative Authority at least twenty-four (24) hours in advance of the time when work will be started at (760) 777-7097. To submit an inspection request, leave a message on the Inspection Request Hotline at (760) 777-7097 prior to 1:30 P.M. at least twenty-four 4) hours prior to the anticipated inspection. Comply with all applicable City Ordinances, the terms and conditions of the permit and all applicable rules and regulations of the City of La Quinta and to pay for any additional replacement necessary as the result of this work. Signature of Applicant or Agent COREY REESER 54710 AVENIDA VELASCO LA QUINTA, CA 92253 Name of Applicant (please print) Business Address Telephone No. OWNER BUILDER - COREY REESER / COREY REESER TRUST 54710 AVENIDA VELASCO LA QUINTA, CA 92253 (323)252-9900 Name of Contractor and Job Foreman Business Address Telephone No. Contractors License No. Applicants Insurance Company Finance Revenue Code Credit Card Fee $3.24 PERMIT INSPECTION DRIVEWAY RESIDENTIAL $175.00 TECHNOLOGY ENHANCEMENT FEE $5.00 TOTAL: $0.00 City Business License No. Policy Number PERMIT NO: DRVA2019-0025 DATE ISSUED: 12/17/2019 EXPIRATION DATE:6/14/2020 BY: EtrakitContractor WORK INSPECTED BY*: PERMIT COMPLETION DATE*: If the work is covered by a Subdivision Improvement Agreement, Subdivider shall request final acceptance of improvements from the Council.